Organization
SHEPHERD'S CARE HOSPICE OF WAGONER, LLC
Active
Organization
SHEPHERD'S CARE HOSPICE OF WAGONER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA K. BOTTOM RN, MS ,CHN (PRESIDENT)
(918) 485-4673
Entity
Organization
Contact information
Practice address
611 W CHEROKEE ST, WAGONER, OK 74467-4618
(918) 485-4673
Mailing address
611 W CHEROKEE ST, WAGONER, OK 74467-4618
(918) 485-4673
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4177
OK
Other
Enumeration date
04/10/2006
Last updated
08/22/2020
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